DEPARTMENT OF INSURANCE

Name	Burchett, Jack Oakley	DOIID	336930	NAIC NPN	7185716

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	10/27/2021		7/31/2025
Active	Resident	Agent	Casualty	10/27/2021		7/31/2025
Inactive	Resident	Agent	Limited Line Credit	12/19/2000	7/31/2013
Inactive	Resident	Agent	Health	9/7/1989	8/1/2013
Inactive	Resident	Agent	General Lines	6/27/1997	8/15/2000
Inactive	Resident	Agent	Credit Life & Health	1/27/1995	1/16/2002
Inactive	Resident	Agent	Life	9/7/1989	8/1/2013

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	133 Mount Martha Drive Pikeville, KY 41501
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 422-1935